Parents' adherence to pediatric health and safety guidelines: Importance of patient-provider relationships.
Lindsay N Fuzzell, A Scott LaJoie, Kyle T Smith and 3 others
PMID 29731179WHAT IT FOUND
Talking with a child's provider about a guideline was linked to higher adherence for most topics, except firearm safety.
Trampoline conversations were linked to lower adherence. Parents followed more guidelines when they trusted and felt comfortable with the provider.
Key findings
01Talking with a child's provider about a guideline was associated with higher likelihood of adherence to that guideline, except firearm safety, and was associated with lower likelihood for large trampoline use.
02Parents reported adhering to a mean of 5.57 out of 9 guidelines.
03Parent trust, comfort talking about guidelines, agreement with provider advice, and confidence following guidelines were associated with adhering to more guidelines.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured conversations and guideline adherence at the same time, so it cannot show that provider talk caused adherence. Parents reported their own behavior and conversations, not medical records or observation, and some infant items were recalled later. Participants were recruited from Amazon Mechanical Turk, so parents without internet access were not represented. The sample was mostly White and college-educated and had fewer Hispanic parents than the U.S. population. Questions asked only whether a topic was discussed, not how long, deep, or effective the conversation was. For routine vaccines, parents reporting exemptions were counted as adherent, which may overstate adherence.
Declared interests
Authors declared no conflicts of interest. The publication types include NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not conclude that talking with a provider causes parents to follow safety guidelines. The survey measured conversations and adherence at the same time, so it cannot show which came first.